| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
465 |
445 |
$47K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
229 |
196 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
1,340 |
1,133 |
$12K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
105 |
84 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,085 |
937 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
117 |
107 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
12 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
28 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
26 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
39 |
38 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$959.85 |
| 76770 |
|
23 |
13 |
$747.65 |
| 74018 |
|
99 |
86 |
$729.24 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
66 |
61 |
$589.40 |
| 93000 |
|
16 |
12 |
$201.47 |
| 73090 |
|
14 |
13 |
$118.38 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
15 |
12 |
$0.00 |
| 7025F |
|
15 |
13 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
12 |
12 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
42 |
40 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
58 |
51 |
$0.00 |
| G9638 |
Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
39 |
27 |
$0.00 |